Test Method
IHC
CPT Code
88342 x 1 or 88341 x 1 (qualitative)
88360 x 1 (quantitative, semi-quantitative - manual)
Stains / Test Description
MLH-1 [G168-15] recognizes human and mouse MLH-1 (80-85 kDa). MLH-1 antibody and MSH2 are involved in the DNA mismatch repair (MMR) process. Microsatellite instability (MSI) is an alteration of microsatellite repeats during DNA replication and is a hallmark of the inactivation of the MMR genes. These defects in MMR have been related to human carcinogenesis. Immunostaining for MLH-1 and MSH2 may be useful to aid in identifying the most probable gene responsible for the MSI. Studies have shown that the expression level of MLH-1 may be a survival indicator.
Specimen Requirements
(1) H&E slide with formalin-fixed, paraffin-embedded (FFPE) tissue, fixed with 10% NBF.
or
One (1) unbaked, unstained slide for H&E staining (required) and two to three (2-3) positively charged unstained slides (all cut at 4 microns) for each test/antibody ordered
Block and slide identifiers should be clearly written and match exactly with the specimen ID and specimen labeling as noted on the requisition.
or
One (1) unbaked, unstained slide for H&E staining (required) and two to three (2-3) positively charged unstained slides (all cut at 4 microns) for each test/antibody ordered
Block and slide identifiers should be clearly written and match exactly with the specimen ID and specimen labeling as noted on the requisition.
Storage & Transport
Ship specimen same day (whenever possible) with refrigerated (not frozen) cold pack
Turnaround time
1-3 days depending on level of service
Level of Service
Global (with interpretation)
Slide Only (glass slides only)
Web-Enabled (glass and digital images through eCSI portal)
Slide Only (glass slides only)
Web-Enabled (glass and digital images through eCSI portal)